Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $85.11 / $158.49	Facility	26	$77.62	$85.11	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $338.84	Professional		$134.90	$169.82	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $89.13 / $190.55	Professional	26	$64.57	$89.13	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $75.86 / $186.21	Professional	TC	$60.26	$75.86	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $85.11 / $141.25	Professional	26	$66.07	$85.11	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $275.42 / $602.56	Professional		$123.03	$275.42	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $102.33 / $165.96	Professional	26	$61.66	$102.33	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $165.96 / $501.19	Professional	TC	$57.54	$165.96	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $676.08	Professional		$151.36	$213.80	$676.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $93.33 / $138.04	Professional	26	$54.95	$93.33	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $107.15 / $549.54	Professional	TC	$69.18	$107.15	$549.54